| NPI | 1699783100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOHREH IRAVANI Staff Pathologist 813-972-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME67299) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |